Common use of Balance Billing Clause in Contracts

Balance Billing. (1) If you receive emergency services (for which benefits are provided under this contract) because of an emergency medical condition with respect to a visit at an emergency department of a hospital or an independent freestanding emergency department, which is a non-participating provider, then such non-participating provider may not bill you, and may not hold you liable, for any amount for such emergency services which is more than the deductible and coinsurance requirements for such services under this contract.